Active NPI
Morning Star Physical Therapy P.C
- Specialist
- Fresh Meadows, NY
National Provider Identifier
1013230697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 026231
- Legal business name
- MORNING STAR PHYSICAL THERAPY P.C
- Practice address
- 77-16 164 Street
Fresh Meadows, NY 11366 - Phone
- (718) 969-6100
- Fax
- (718) 969-6103
- NPI assigned
- Mar 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohamed Y Elsaidy, PT
- Title
- Owner
- Phone
- (718) 969-6100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 026231 | NY | Primary |
Addresses
Primary practice location
77-16 164 Street
Fresh Meadows, NY 11366
Mailing address
77-16 164 Street
Fresh Meadows, NY 11366
Phone (718) 969-6100
Other names 1
- Morning Star Physical Therapy P.C
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268179200000",
"number": "1013230697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77-16 164 STREET",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "11366",
"telephone_number": "718-969-6100",
"fax_number": "718-969-6103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77-16 164 STREET",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "11366",
"telephone_number": "718-969-6100",
"fax_number": "718-969-6103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORNING STAR PHYSICAL THERAPY P.C",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-10",
"last_updated": "2010-03-10",
"status": "A",
"authorized_official_last_name": "ELSAIDY",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-969-6100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "026231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Morning Star Physical Therapy P.C",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.